Tuesday, March 4, 2014

The director's cut ;). These are my personal notes for my presentation, the words I intended to say (as opposed to the outline in the handout). Didn't necessarily follow exactly, as it wasn't a speech but an in-the-gym-and-climb-over-equipment session, but hit most of the high points. This includes the last third that got cut off because of time. If you can manipulate the images on your screen, read this side by side with the previous post, which is the outline and slides that have to do with the exercises. Enjoy.

Before
we get into it, I want to elaborate on the title.When I say “safer”, I don’t just mean
avoiding the immediate injury.

This
being a HIT influenced crowd, that’s always been a concern of HIT literature.

It’s
not like this is a Cross fit convention.

I’m
also referring to avoiding the wear and tear that adds to a chronic
condition.The arthritis, bursitis,
tendinitis, degenerative disc, patella femoral pain, etc.Because while those conditions may also come
from things unrelated to exercise, it is the same set of joints, so I want to
make sure my instruction doesn’t add to it.

Now
for my own workouts, and for my clients, I’m probably a bit overprotective with
the joints, even at the expense of some marginal benefit, due to my own ruptured
biceps and triceps and various aches and pains from four decades of exercise
and a semi-active, physical lifestyle.I
understand if you’re an athlete or a bodybuilder or even just exploring
different fitness options that you may not have the same priority.If it’s not a problem with you, it’s not a
problem.I’d just say if at some point
your joints do start to hurt, or if you want to get ahead of the inevitable
joint issues that come with aging, you might find something useful here.

Let’s
start with the 45 degree back extension.By the way, take out your smart phones and ipads and go to
congruentexercisedotblogspotdotcom for the outline and slides.

45
degree back extension.Start short of hyperextension: straight knee,
straight hip, torso in line with thighs.Start to lower the torso without rounding the back.At some point you’re going to feel a
tightness in the hamstrings.The weight
of your torso is pulling your pelvis into a tilt, which means your hamstrings
are stretching over your knees and your pelvis.If you continue to lower your torso, your back is going to round because
your hamstrings are locking your pelvis in place.

Reversing
the lumbar curve is not a good idea, at least acc to the A&B texts, which
emphasize the importance of the spine curves in disc health.So, once you feel the stretch in the
hamstrings, you can either use that as a marker to begin the positive, or you
can break at the knees to free up the pelvis, and continue to lower the torso.Either way you want to maintain the curve in
the lower back.

This
not a great exercise to try to progress dramatically in weight because of the
spine and the positioning of the hamstrings.A better way to approach this is as “practice” for proper spine
mechanics, and use the next exercises for progressive glute and hamstring work.

(How
to handle the Medx question IF ASKED:the anatomy & biomechanics texts are very clear that the safest
position to load the spine is in its natural curves.So my approach for most exercises is to try to
keep those curves, especially when other joints and muscles complicate the
exercise.I’ll defer questions about
isolated lumbar extension to others more familiar with it, other than to say
that as long as you avoid the anatomic stops, you’re probably going to benefit.)

Hip
abduction

The
clamshell floor exercise is suggested in some back therapy as a way to
re-engage the glutes.This machine
mimics the joint position of the clamshell.

Pretty
straightforward, but I have a tweak to add.You may notice in the course of a set, early, the pelvis stays in place
and the movement arms move.When
approaching failure, and the movement arms stall, the hips tilt, the belly
protrudes, the lower back curve gets exaggerated.The contraction of the glutes, instead of
pulling the legs towards the hips, pulls the pelvis towards the legs.

Defeating
the purpose of the exercise, which is to train the glutes without stressing the
spine.

My
tweak is to raise an inch off the seat by pushing on the foot bars, so the
hamstrings lock the pelvis from the rear bottom, and to tighten the abs to lock
from the top front.This way, as the
glutes approach failure, you don’t extend the set at the cost of the lower
back.

I
do the same with the adduction, although the tilting/arching isn’t as
prominent.Notice in the diagrams of the
adductors, and then the hamstrings, that the medial part of the hamstrings
pulls in the same direction as the adductors.Try doing the adductor immediately after the leg curl to see how much
your performance in the adductor is affected by the hamstrings.

Seated
leg curlIf you try to do this with a fully extended
knee at the start, you run into sufficiency issues affecting the curve in your
lower back again.Hamstrings go taut,
which pulls the pelvis into a posterior tilt, which flattens the lumbar
curve.As you curl, the pelvis frees up,
the lumbar curve returns.And vice
versa.This flattening-curving of the
lumbar under load puts extra stress on the discs that I’m trying to avoid.

I
would start short of full extension, set the curves in your back and hold them
through the knee flexion.At the finish,
lift your toes to keep the gastroc from cramping.Depending on the brand, you may have to
“bench press” to keep your hips from sliding forward at the finish.

Note
the finish.This is a sharper knee angle
than I’m going to suggest for the leg extension, mainly because there is no
knee cap behind the knee.

L

eg
extension 2
issues with the leg extension: where you start, and where you finish.Both have to do with the knee.The kneecap functions as a pulley.You can live without a kneecap, but your legs
won’t be very strong.The muscles of the
quad come together in the tendon, the knee cap is in the middle of the tendon,
this creates an internal moment arm, so the strength of your quads is
amplified.The knee cap keeps the line
of force of the quads away from the center of the knee.The issues start when your knee is bent less
than 90 degrees; the force from the quads and the resistance from the shin
pulls the knee cap towards the center, compressing everything internally, which
at some point gets irritated and turns into a symptom (like pain).This is an easy fix; just start with the knee
opened enough to avoid the pain.Now the
kneecap deflects the forces rather absorbs.

Where
to finish.Way back, used to try to
straighten the knee as far as possible, and it did burn, so we thought it was
right.Turns out, something called
“terminal rotation” or “the screw home mechanism” at the end of the range,
which is the tibia rotating on the femur creating a bony lock.This bony lock is supposed to be passive;
allows us to stand or walk with relatively little muscular effort. So there doesn’t appear to be a good reason to
force your knee into that lock, because a) you’re working against your own
joint, and b) peak torque for the quads is closer to 70 degrees than 0 degrees
anyway.Is there a downside?May be no, certainly not as much as the start
position.

(What
about “Terminal Knee Extension” as done in rehab?What about leg extension machines with
drastic fall off?In rehab, they use
“TKE” with a cuff or cable as a way of avoiding the compression in the knee.Also to “wake up” the vastus to help
stabilize the knee.What can happen is
the knee cap goes out of alignment either from an injury or flat feet or
whatever, and the biggest of the quads, the RF, continues to pull it out of alignment.The point of TKE is to position the RF so it
can’t pull as hard, leaving the vastus to do the work.It’s de-emphasizing the RF and engaging the
vastus that is the point, not just jamming the knee into full extension.A leg extension machine that challenges the
joint angle for peak muscle torque, but then shaves the cam to allow lockout,
still doesn’t shut down the rectis femoris at lockout, it just allows you into
the screw home mechanism.Which may not be harmful, but doesn’t
accomplish the same as the rehab “TKE”.)

Barbell
Bench Press Most important from a
safety perspective is the finish.Pectorals, triceps, delts exhausted, bar over your face, and to replace
the bar you have to hunch your shoulders forward/protract your scapulae, which
uses the small, fine serratus muscles on the side of the ribs.And the consequences of missing the put back
are disastrous.So in this case, the
last reps aren’t the safest.

So
if you don’t have 2 more spotters, hold back a bit in the set, and use a set
extender: manual resistance chest press or pushups, so the total set is about a
minute.

If
you’re going to use a machine.I suggest
the lower grips, not because of the grip but the shoulder angle.You could use the bar grips with a higher
seat to affect the same angle.I also
suggest “keep your hands in your peripheral vision” to avoid overstretching the
shoulder.

2
slides of the shoulder joint, the bones and the ligaments.You see how much is packed into that small
area, the head of the humerus, the A/C joint, the coracoid process, various
bursa and ligaments, capsule, as well as the rotator cuff, and biceps and
triceps tendons.In neutral, as in the
diagram, everything fits, but at the extreme positions movement is stopped by
everything coming in contact. If you load those positions with external weight,
that contact can be become an impingement, with various ailments that follow.

As
a general rule for upper body work, looking straight ahead, keep your hands in
your peripheral vision.This gives a
little margin of error while still giving enough range for the muscle to work.Same applies to chins and pulldowns.

Assisted
Chin Re; the effect of grip.Try doing a parallel or close grip chin up or
a pullover machine immediately after training chest to failure, you’ll see how
much your performance on the chin up is affected by the pectorals.So for a beginner, someone with low starting
strength, that I don’t want to discourage, I start them with a closer grip on chins,
so that they can do any reps.As they
get stronger, maybe they stall on the progression, I’ll move them to the wide
grip, so there are fewer big muscles helping the lats.

For
someone advanced, may go the other way, the first set wide, the next close, as
a way of extending the sets.

Let
me conclude by saying that I am stunned at where the commercial fitness
industry is today.I’ve been looking at
this stuff for 40 years, and part of the Nautilus influence on me was that the
workout shouldn’t cause its own injuries.It’s one thing to get injured on the field, it’s another to get injured
in the weight room preparing to get on the field.

So
to see the popularity of Cross Fit and Insanity and Biggest Loser, all of which
have a callous disregard for careful exercise blows my mind.Fortunately for us, the HIT influenced, I
think the vast majority prospective clients want no part of getting injured by
their workout.